Heart Failure Due to Mitral Stenosis Complicated Atrial Fibrillation in Pregnancy

Background. This case report aims to discuss the management of heart failure due mitral stenosis with complications atrial fibrillation in pregnancy.
 Case presentations. A 35-year-old pregnant woman came ER M. Djamil Hospital complaints shortness breath 3 days before being admitted hospital. Complaints accompanied by palpitations felt fast and irregular, appeared suddenly when patient was resting, lasted continuously. Physical examination showed a pulse rate 120-130x/minute, increased jugular venous pressure, palpable cardiac ictus 1 finger lateral left midclavicular at V intercostal space. ECG revealed fibrillation- rapid ventricular response (AF RVR). The diagnosed et causa suspect NYHA Fc III, rheumatic disease.
 Conclusion. this done giving digoxin 0.25 mg orally. Patients are given anticoagulants prevent thromboembolic complications. advised undergo valve replacement surgery considering degree stenosis, complications, thorough assessment.